Peter Matthew Schortmann, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11067 Issued in MA

Practice address

331 Cotuit Rd
Suite 30
Sandwich, MA 02563-2428

Phone

(508) 888-1040

Fax

(508) 888-8815

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639199714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 AUTUMN AVE",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324614",
            "telephone_number": "781-585-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 COTUIT RD",
            "address_2": "SUITE 30",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632428",
            "telephone_number": "508-888-1040",
            "fax_number": "508-888-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORTMANN",
        "first_name": "PETER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262684",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandwich Dental Associates L.L.C
• Sandwich Pediatrics
• Sandwich Physical Therapy, Inc
• Sandwich Primary Care Associates, Inc
• Sandwich SNF Operations, LLC
• Myles La Verne Schultz, MD
• See Breeze Optical Corp.
• Susan Shanley, RPT
• Lawrence J Shell, D.C.
• Kathleen C Shine-O'Brien, LMHC

• General Practice Dentistry in Sandwich, MA
• Providers in Sandwich, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.